Raftery, Thomas L
Raftery, Thomas L is an sole proprietor health care provider with primary practice located at 350 Henry St , Brooklyn NY 11201-6001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Raftery, Thomas L can be contacted via phone (718) 780-1564.Contact Information
Primary practice address
350 Henry St
Brooklyn NY 11201-6001
Phone: (718) 780-1564
Fax: (718) 780-4703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 091584-1 | New York |
Profile Details
NPI number | 1902800469 |
---|---|
LBN Legal business name | Raftery, Thomas L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902800469 | NPPES |
New York | MEDICAID | 00146694 |
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